Evaluation of a case management model for preanesthesia screening.
Case management (CM) is a health care model implemented to reduce health care costs while improving the quality of patient outcomes. Using a CM framework, a preoperative screening program was developed to improve the coordination of care of pediatric patients scheduled for ambulatory surgery or admission on day of procedures at C.S. Mott Children's Hospital. Pediatric patients and their families who attended the preoperative program experienced fewer preoperative delays, perceived less stress, and felt better prepared for surgery and discharge than those who did not participate in the program. Findings from this study showed that the CM preanesthesia screening program was effective in reducing delays because of incomplete workups, and in improving the overall preparedness of families.
Voepel-Lewis
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Department of Anesthesiology, University of Michigan Health Care Center, Ann Arbor 48109-0211, USA.
Malviya
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D000293:Adolescent; D000758:Anesthesia; D019090:Case Management / Q000458:organization & administration*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D008403:Mass Screening / Q000458:organization & administration*; D016294:Models, Nursing; D010371:Pediatric Nursing; D013527:Perioperative Nursing; D011300:Preoperative Care / Q000379:methods*; D015397:Program Evaluation